左心减压策略在静脉-动脉体外膜肺氧合中的研究进展  

Research progress on left heart decompression strategies in venoarterial extracorporeal membrane oxygenation

作　　者：师博艺 彭卫[1] Shi Boyi;Peng Wei(Department of Cardiothoracic Surgery,Children’s Hospital of Nanjing Medical University,Nanjing 210019,China)

机构地区：[1]南京医科大学附属儿童医院心胸外科,南京210019

出　　处：《临床小儿外科杂志》2025年第3期282-287,共6页Journal of Clinical Pediatric Surgery

基　　金：江苏省妇幼保健协会科研项目(FYX202201)。

摘　　要：静脉-动脉体外膜肺氧合(venoarterial extracorporeal membrane oxygenation,V-A ECMO)主要用于维持严重心源性休克或顽固性心脏骤停患者的循环和呼吸支持。虽然V-A ECMO能够让心脏得到有效的休息,但其在部分患者中可引起左心室后负荷增加,导致左心室扩张,从而导致心肌进一步损伤和肺水肿,这与ECMO的原理相违背。因此,正确有效的左心室减压策略对V-A ECMO患者至关重要。本文对左心减压机械辅助策略在V-A ECMO使用中的研究进展进行综述。Venoarterial extracorporeal membrane oxygenation(V-A ECMO)is primarily used to provide circulatory and respiratory support in patients with severe cardiogenic shock or refractory cardiac arrest.Although it allows the heart to rest for a certain period,the increased left ventricular afterload in some patients can lead to left ventricular dilation,exacerbating myocardial damage and pulmonary edema,which contradicts the fundamental principles of ECMO.Therefore,an appropriate and effective left heart decompression strategy is essential for patients receiving V-A ECMO.This review summarizes the latest research progress on mechanical left heart decompression strategies in V-A ECMO.

关 键 词：静脉-动脉体外膜肺氧合 左心室减压 左心室扩张 外科手术 儿童 

分 类 号：R654.2[医药卫生—外科学]